| NPI | 1710489133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404076) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800886-TRNE) |
| 101Y00000X Counselor (Licence: OH C.1901738) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2024-02-08 |