| NPI | 1114684768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404159) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103661) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-06-17 |