| NPI | 1407367451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001719-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2001719) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-01-05 |