| NPI | 1750870853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102078-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700438) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2026-07-07 |