| NPI | 1407471808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404472) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002624) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-07-11 |