| NPI | 1659520989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1300232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2668) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2022-08-03 |