| NPI | 1710535885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0000249) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: 21427279) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |