| NPI | 1003222423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2304851) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2203765-TRNE) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-08-01 |