| NPI | 1134854516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305591) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CT.2204137-trne) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-02-01 |