| NPI | 1356676456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0007961-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0007961) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2025-11-20 |