| NPI | 1679091326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH e.1901289) |
| Additional Taxonomies | 251S00000X (Licence: OH c.1400204) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-01-29 |