| NPI | 1912425075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901039) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1901039-SUPV) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-20057) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-03-28 |