| NPI | 1578076584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800880) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2026-03-01 |