| NPI | 1376984484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1400018-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC007019) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2025-08-28 |