| NPI | 1396326609 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404841) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204586) | 
| Enumeration Date | 2021-04-19 | 
| Last Update Date | 2024-10-29 |