| NPI | 1053910372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303774-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103728) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2026-06-22 |