| NPI | 1790564441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406406) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305008-TRNE) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-09-03 |