| NPI | 1386119816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2102647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801045-TRNE) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2025-09-19 |