| NPI | 1053066324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81932) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: OH E.2505082) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-07-09 |