| NPI | 1104471820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103083) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-02-01 |