| NPI | 1013277516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202775-SUPV) |
| Additional Taxonomies | 101200000X Drama Therapist (Licence: OH 513) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2026-04-22 |