| NPI | 1881992386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: C.1600436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0900250) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-12-07 |