| NPI | 1548835861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 92363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.2204595) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2606657) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2026-04-06 |