| NPI | 1659821270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1800960) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1400514) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2019-11-05 |