| NPI | 1811767254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 10101) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator (Licence: OH LPC-OH-1201) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2026-05-22 |