| NPI | 1871084988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1200542) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1200542) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |