| NPI | 1417468349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1901336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400522) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2020-04-21 |