| NPI | 1588209068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1801529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2404573) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-10-22 |