| NPI | 1740870807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103841) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2102988-TRNE) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2024-06-11 |