| NPI | 1588225601 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303891)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002827)  | 
| Enumeration Date | 2019-06-28 | 
| Last Update Date | 2024-08-29 |