| NPI | 1386040517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203240) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19639) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-02-03 |