| NPI | 1700816097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0004341-S) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0004341-SUPV) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-10-20 |