| NPI | 1649808791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2404949) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-02-25 |