| NPI | 1205205085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 243632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102219) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-09-18 |