| NPI | 1598939092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0602227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 0602227) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2018-03-17 |