| NPI | 1518365345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0003116) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: OH AU1006412) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |