| NPI | 1568171742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2404891) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-08-14 |