| NPI | 1326691189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505242) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11347) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2026-06-18 |