| NPI | 1508387762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2001970) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700747) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-02-17 |