| NPI | 1679023402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0008013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0008013) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-06-29 |