| NPI | 1134892268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2404395) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c.2103234-trne) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-08-01 |