| NPI | 1942670757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1300249-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1800037-SUPV) |
| 101Y00000X Counselor (Licence: OH E.1300249-SUPV) | |
| 101YP2500X Counselor Professional (Licence: OH E.1300249-SUPV) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2025-09-05 |