| NPI | 1942966619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002893-TRNE) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-07-11 |