| NPI | 1649697822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 436) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0500391) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-09-17 |