| NPI | 1114235678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.0900576) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0900576) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2024-01-02 |