| NPI | 1760530380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 3080) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93177) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-06-05 |