| NPI | 1407369978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901560) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700642) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-07-17 |