| NPI | 1013586353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83044) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505176) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-08-07 |