| NPI | 1467946392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002773) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013740) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-10-02 |