| NPI | 1568942894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2505647) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2025-08-25 |