| NPI | 1770752149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011335) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.0600099) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2021-04-29 |