| NPI | 1386038180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1600038-SUPV) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2020-12-23 |