| NPI | 1639723679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002817) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901848-TRNE) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-05-21 |