| NPI | 1194347328 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303530)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002429)  | 
| 101YP2500X Counselor, Professional (Licence: OH C.2103173)  | |
| Enumeration Date | 2020-05-11 | 
| Last Update Date | 2023-12-07 |