| NPI | 1063869501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1300115) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2022-04-09 |