| NPI | 1962998831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH F.2200255) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1800103-TRNE) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-06-21 |