| NPI | 1033563176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1600131) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-12-02 |