| NPI | 1639572258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202737) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-17685) |
| 101YP2500X Counselor, Professional (Licence: OH C.1200622) | |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2022-02-08 |