| NPI | 1487487773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 88002874A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405915-TRNE) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-07-16 |