| NPI | 1649626086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1200665-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1200665) |
| 101YP2500X Counselor, Professional (Licence: OH E.1200665-SUPV) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-10-09 |