| NPI | 1871958389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1500239) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-02-21 |