| NPI | 1811445950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300341) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-10-08 |