| NPI | 1568736866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0800188) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0800188) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2019-10-29 |