| NPI | 1548407307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0006402) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH OH1511140) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2019-03-31 |