| NPI | 1972278984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404374) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2404374) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-03-13 |