| NPI | 1194561407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2506993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405645-TRNE) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2025-06-12 |