| NPI | 1194990184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0700865) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0700865) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2017-03-29 |