| NPI | 1073801684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100372-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2026-07-30 |