| NPI | 1336803410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704014234) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505512) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-12-23 |