| NPI | 1639611940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2001928) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.1500192) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-03-29 |