| NPI | 1689180531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901341) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1500363) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-09-30 |