| NPI | 1780826164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0500954) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA pc005093) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2021-07-19 |