| NPI | 1629687405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303736) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103454) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-12-18 |