| NPI | 1568771285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0500396) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2026-04-01 |