| NPI | 1306320981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203242-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LPC-MN-397) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2026-05-05 |