| NPI | 1871683292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH RN 134560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH NS-02212) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2019-06-24 |