| NPI | 1386288314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2102584-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC011607) |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2024-08-24 |