| NPI | 1558851923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 265396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 113850) |
| 101YP2500X Counselor, Professional (Licence: OH 2002031) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2026-03-02 |