| NPI | 1174873152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901302) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000001) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-02-18 |