| NPI | 1700655479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2305321-TRNE) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2305321-TRNE) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-11-22 |