| NPI | 1063176436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 101YP2500X) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37pc01199000) |
| 101YP2500X Counselor, Professional (Licence: e.2505299) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-10-27 |