| NPI | 1316410913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2102467-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2024-01-30 |