| NPI | 1760152409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2304882) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-09-25 |