| NPI | 1023686490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505459) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103250-TRNE) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-08-28 |