| NPI | 1013680859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204311) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103138-TRNE) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2022-06-30 |