| NPI | 1053089094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2505043) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204280) |
| 101YP2500X Counselor, Professional (Licence: OH C.2204280) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-08-06 |