| NPI | 1295234417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2001636) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1200076) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-02-09 |