| NPI | 1952998379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404147) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19460) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2025-12-22 |