| NPI | 1154759801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500164-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1262) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2026-09-24 |