| NPI | 1770315020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2507174) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406000-TRNE) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-06-16 |