| NPI | 1831865120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 179434) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2025-10-22 |