| NPI | 1013480920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002526) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901555-TRNE) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2021-09-07 |