| NPI | 1609682996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2607886) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405970-TRNE) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2026-02-17 |