| NPI | 1669807434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1200124) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200124) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-08-30 |