| NPI | 1447995741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH S.2202563-TRNE) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH I.123456-SUPV) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-08-30 |