| NPI | 1780091579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901249) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13259) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-04-14 |