| NPI | 1427401918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700363) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1400200) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2021-09-08 |