| NPI | 1629316658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0016707) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.1800686) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-09-26 |