| NPI | 1841748795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2001929) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1700822) |
| 101YM0800X Counselor Mental Health (Licence: OH R2001929) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2021-07-01 |