| NPI | 1790271054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2404205-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: C.2002907-TRNE) |
| 101YM0800X Counselor Mental Health (Licence: OH C.2204000) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-06-16 |