| NPI | 1679268452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2606785) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103580) |
| 101YP2500X Counselor, Professional (Licence: OH C.2103580) | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2026-03-18 |