| NPI | 1396551628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2507422) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406295-TRNE) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-08-26 |