| NPI | 1912446212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700061-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700061-SUPV) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2025-10-09 |