| NPI | 1053444240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0501087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0501087) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-04-12 |