| NPI | 1184291122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103162-TRNE) |
| 251S00000X | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-07-22 |