| NPI | 1902431133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203010-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39004513A) |
| 101YM0800X Counselor, Mental Health (Licence: KY 279235) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2203010-SUPV) | |
| 101YP2500X Counselor, Professional (Licence: WV 2942) | |
| 101YP2500X Counselor, Professional (Licence: KY 279235) | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2025-12-30 |