| NPI | 1780078022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2203226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2203226) |
| 251S00000X Community/Behavioral Health (Licence: OH E.2203226) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-10-14 |