| NPI | 1699258764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102613) |
| Additional Taxonomies | 251S00000X (Licence: OH C.1800931-TRNE) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-11-04 |