| NPI | 1689210288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303641) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2103381) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2025-04-29 |