| NPI | 1699328385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700439-TRNE) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-05-24 |