| NPI | 1043895931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79942) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1800875) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2023-02-09 |