| NPI | 1265091367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2640) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505191) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2026-03-19 |