| NPI | 1154185304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.2506246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1201568) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-07-24 |