| NPI | 1548794407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013955) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505863) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-10-29 |