| NPI | 1659840361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14675) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1800949-SUP) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-12-21 |