| NPI | 1619093416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0003358) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH EOOO3358) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-08-01 |