| NPI | 1548786759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102354) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801138) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-07-07 |