| NPI | 1295700755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0003791) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E000379) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2018-03-17 |