| NPI | 1770041139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102581) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901777) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-04-19 |