| NPI | 1942140306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 2404467) |
| Enumeration Date | 2026-03-28 |
| Last Update Date | 2026-03-28 |