| NPI | 1801252358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901048-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: OH E.1901048) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-08-12 |