| NPI | 1669917639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7736) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2505236) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701008303) | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2025-04-25 |