| NPI | 1891556395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2506843) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405490-TRNE) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-02-10 |