| NPI | 1366031494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2505265) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c2002875) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-05-19 |