| NPI | 1760029979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2607458) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2026-08-13 |