| NPI | 1336032051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451024327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2507323) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-08-05 |