| NPI | 1548684145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1300034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300034) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2016-12-01 |