| NPI | 1740940378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 10250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3042) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4078) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2505767) | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2026-02-03 |