| NPI | 1174162861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505525) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103314) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2025-07-14 |