| NPI | 1265948947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901220) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.1500489) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-05-29 |