| NPI | 1477053205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180017558) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0700461) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2025-10-14 |