| NPI | 1770126310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2203123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902023-TRNE) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-09-21 |