| NPI | 1710517180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404754) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 262476) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2026-09-21 |