| NPI | 1588170682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 264410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 23774) |
| 101YP2500X Counselor, Professional (Licence: OH e2404961) | |
| 101YP2500X Counselor, Professional (Licence: TN 7117) | |
| 101YP2500X Counselor, Professional (Licence: OK 10378) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2025-11-04 |