| NPI | 1265562839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0002543-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0002543) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-02-25 |