| NPI | 1346085560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2203218-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC012276) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-01 |