| NPI | 1225261118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0700331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC9531) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2025-06-09 |