| NPI | 1871208710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2305674) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304560-TRNE) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-05-21 |