| NPI | 1912790916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 097.0136418) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2406382) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |