| NPI | 1629670039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-8165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 01-8937) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2026-08-31 |