| NPI | 1518179506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500928-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0500928) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0500928) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-01-20 |