| NPI | 1801312160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2001585-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700866) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-03-30 |