| NPI | 1427507920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1200366-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1200366) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2021-04-09 |