| NPI | 1356987960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2001897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 103423) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-10-15 |