| NPI | 1649987074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505612) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2505612) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2026-04-27 |