| NPI | 1306364583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203238-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002693) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2026-04-28 |