| NPI | 1043887128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH I.2203904) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0904012750) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904012750) | |
| 101YP2500X Counselor, Professional (Licence: VA 0904012750) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 257870) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-10-19 |