| NPI | 1710400569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202858) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 261901) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-03-13 |