| NPI | 1083471569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2507162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00893100) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-09-16 |