| NPI | 1417348863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700292-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C-1400550-TRNE) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2022-07-29 |