| NPI | 1881924165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.0700883-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C 0700883) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2020-06-30 |