| NPI | 1801458682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2002006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902068) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2021-02-09 |