| NPI | 1962061770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2002761) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1901736) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2020-07-22 |