| NPI | 1982350948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 280748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2103426) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2026-04-28 |