| NPI | 1124527759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001981) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH M.1700014) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-11-13 |