| NPI | 1861945776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19711) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801398) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2025-06-25 |