| NPI | 1962157560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505055) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2203937) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-01-29 |