| NPI | 1386292753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2303314) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2026-03-24 |