| NPI | 1497315972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016364) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2303512) |
| 101YP2500X Counselor, Professional (Licence: TX 99359) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2026-03-02 |