| NPI | 1275954265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 21693) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.2404783) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2025-07-23 |