| NPI | 1588531560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2507040) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY P140557) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2026-09-21 |