| NPI | 1770785776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0007797-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0007797) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-01-15 |