| NPI | 1861024473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2404148) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2002523) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-04-23 |