| NPI | 1801203401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700122) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH C.1400266) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-06-03 |