| NPI | 1710691258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2405759) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204486-TRNE) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-01-18 |