| NPI | 1487393997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0023868) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-10-13 |