| NPI | 1407345689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 238638) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800802-TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1902021) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-07-30 |