| NPI | 1689493421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2505431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18603) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2026-01-14 |