| NPI | 1053074641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2303724) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-03-19 |