| NPI | 1164914545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1902380) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801086) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2026-06-25 |