| NPI | 1962950501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0004306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0004306) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-06-28 |