| NPI | 1700352010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 5608) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.1800886) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-01-21 |