| NPI | 1801414636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015027) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-06-25 |