| NPI | 1285176685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900110-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2023-02-15 |