| NPI | 1083117568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1800617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1800617) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-06-02 |