| NPI | 1659852739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202893) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1901947) |
| 101YP2500X Counselor, Professional (Licence: WV 2797) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-08-22 |