| NPI | 1801284146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1800764) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1300686) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-01-20 |