| NPI | 1003391608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203236) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1902015) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2022-12-02 |