| NPI | 1821636697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404459) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 13114) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2026-02-25 |