| NPI | 1952593287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0500896) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2022-04-18 |