| NPI | 1215521851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 123456-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1215521851) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-06-29 |