| NPI | 1194430868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85828) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2506949) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2026-02-27 |