NPI | 1336032051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451024327) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2507323) |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-08-05 |