| NPI | 1306484415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002895) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH APP-00031818002) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2022-12-14 |