| NPI | 1720352669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0602042-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0602042) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2016-09-07 |