| NPI | 1568701191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1100432-TRNE) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2025-07-10 |