| NPI | 1528723673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2102586) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2025-05-23 |