| NPI | 1912465774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2002645) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1901719-TRNE) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2023-08-23 |