| NPI | 1760733067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260504) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 172345) |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional (Licence: OH E.2607488) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2026-08-19 |