| NPI | 1407333271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303967-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801274) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2026-04-20 |