| NPI | 1194251413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 15064) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010074) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-03-18 |