| NPI | 1083020259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1700205) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C1300595) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-02-10 |