| NPI | 1548632391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86655) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500517) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-11-02 |