| NPI | 1689166043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2203147) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1901917) |
| 101Y00000X Counselor (Licence: OH C.1901917) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-10-07 |