| NPI | 1073838223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0500106) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2021-03-02 |