| NPI | 1912395476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I-2102742-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH S 0023362) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2022-12-27 |