| NPI | 1427563923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0023657) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102327) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-22131) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2026-04-13 |