| NPI | 1669003778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2606161) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002216TRNE) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2026-01-14 |