| NPI | 1922480672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2203183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2203183) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-07-14 |