| NPI | 1871123414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.230678) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1902399) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-07-23 |