| NPI | 1033607957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1901463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700514) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2019-10-24 |