| NPI | 1790133569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: E1800605-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300450-CR) |
| 101YP2500X Counselor, Professional (Licence: OH C.1300450) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-05-01 |