| NPI | 1649931494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2505749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505749) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-09-29 |