| NPI | 1114398294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400417) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2020-12-23 |