| NPI | 1770973109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700063) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1300394) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2018-07-18 |