| NPI | 1669874996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1300170) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-05-12 |