| NPI | 1902685597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH OCPSA.161662) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |