| NPI | 1417512476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2203220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002724) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-12-04 |