| NPI | 1639990021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2507393) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406183-TRNE) |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-08-21 |