| NPI | 1770932972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800970) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500254) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-01-14 |