| NPI | 1659189611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2507472) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406229-TRNE) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-09-04 |