| NPI | 1215529714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103904) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2102954-TRNE) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-09-29 |