| NPI | 1972217065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2305200) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2304576-TRNE) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-07-12 |