| NPI | 1932602596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2606116) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014702) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2026-01-12 |