| NPI | 1912479536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801442-TRNE) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002705) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2025-01-07 |