| NPI | 1245604677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901346) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1300108) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-07-09 |