| NPI | 1689464547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA APC001677) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH LSP.01053) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-09-10 |