| NPI | 1639613284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800398-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 292175) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-07-22 |