| NPI | 1659864858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004147A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505497) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-07-18 |