| NPI | 1003469511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404874) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 15493) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2026-02-03 |