| NPI | 1992529903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2507217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14097) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-08-12 |