| NPI | 1801270616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1400143) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.1700347) |
| 101YP2500X Counselor Professional (Licence: OH E.1700347) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-09-23 |