| NPI | 1902307440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH c1300046) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E266953) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2026-04-16 |