| NPI | 1942966619 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404585)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002893-TRNE)  | 
| 101Y00000X Counselor (Licence: OH C.2204349)  | |
| Enumeration Date | 2021-11-16 | 
| Last Update Date | 2024-08-12 |