| NPI | 1407460280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2506899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 354879) |
| 175T00000X Peer Specialist (Licence: OH 0001699) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-05-05 |