| NPI | 1548837701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2203084-TRNE) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2026-03-19 |