| NPI | 1316431588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1902093) |
| Additional Taxonomies | 251S00000X |
| 101Y00000X Counselor (Licence: OH C1800977-TRNE) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-07-02 |