| NPI | 1164155230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2204493) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-04-01 |