| NPI | 1497240204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102634-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801118-TRNE) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-08-27 |