| NPI | 1003341637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800922) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.010646) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2026-05-15 |