| NPI | 1801562962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2505032) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304853) |
| 101YP2500X Counselor Professional (Licence: OH C.2304853) | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2025-01-28 |