| NPI | 1659566164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH 0002893) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 2893) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-09-30 |