| NPI | 1780179887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102131) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2021-09-17 |