| NPI | 1548490279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505632) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004493A) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2025-09-16 |