| NPI | 1851718076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000090-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1000090) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2026-07-30 |