| NPI | 1265052138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001925) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7427) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-06-10 |