| NPI | 1063964625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800965) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 1500156) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-01-03 |