| NPI | 1336810233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2505943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505943) |
| 251S00000X Community/Behavioral Health (Licence: OH E.2505943) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-04-28 |