| NPI | 1043939010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2507612) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406090-TRNE) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-12-01 |