| NPI | 1619274008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0700302-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0700302) |
| 101YP2500X Counselor, Professional (Licence: OH E.0700302) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2023-04-06 |