| NPI | 1093209652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901064-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-04-21 |