| NPI | 1376314914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 8115-226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304840-TRNE) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-06-16 |