| NPI | 1033665716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 275437) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.1200234) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-04-27 |