| NPI | 1699443721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.017309) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103158) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2026-02-05 |