| NPI | 1043525041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900428-SUPV) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH OH1485147) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2022-07-11 |