| NPI | 1164053195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C2002260-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204730) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-02-20 |