| NPI | 1700507555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1300787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300787) |
| 101YP2500X Counselor, Professional (Licence: OH C.1300787) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-06-02 |