| NPI | 1669870192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300190-CR) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2018-08-01 |