| NPI | 1104267004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505917) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2026-05-08 |