| NPI | 1184136095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 10018758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1700798) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2026-09-03 |