| NPI | 1063904654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-01-30 |