| NPI | 1467904656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C1700189) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1600245TRNE) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-10-06 |