| NPI | 1093228496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800778) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1600036) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-07-18 |