| NPI | 1487078853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00225633) |
| 101YM0800X Counselor, Mental Health (Licence: KY 165439) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2025-08-05 |