| NPI | 1235636234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901732) |
| 101YP2500X Counselor, Professional (Licence: OH C.1901732) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2026-05-18 |