| NPI | 1508570698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404129) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC015194) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-07-11 |