| NPI | 1851884167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0218971) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1700338) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-08-09 |