| NPI | 1336630110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102201) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801246) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-04-02 |