| NPI | 1679977334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1200012-CR) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2017-04-28 |