NPI | 1255159661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2507314) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406149-TRNE) |
Enumeration Date | 2024-10-03 |
Last Update Date | 2025-07-15 |