| NPI | 1922555895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C. 1500506) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-03-26 |