| NPI | 1376083444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011389) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901070) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-09-27 |