| NPI | 1760949424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2003021) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901586-TRNE) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-11-20 |