| NPI | 1073001780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500293) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-04-09 |