| NPI | 1851686893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100218-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1100218) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1100218-SUPV) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2024-07-29 |