| NPI | 1225539737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2505002) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 266439) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2026-07-21 |