| NPI | 1023439395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 101524) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505869) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2026-05-13 |