| NPI | 1427729821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204687) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103266-TRNE) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-10-24 |