| NPI | 1245108463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E7704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 031113) |
| 405300000X Prevention Professional (Licence: OH 1184) | |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-11-20 |