| NPI | 1902356348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901218-SUPV) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2025-03-18 |