| NPI | 1598042533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0600534-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.0600534) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-06-14 |