| NPI | 1659731164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901027-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901027) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2020-10-15 |