| NPI | 1225586217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901219) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CV.1300626) |
| 251S00000X | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-07-18 |