| NPI | 1770082596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1700285) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-07-26 |