| NPI | 1477284123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2406602) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2026-02-07 |