| NPI | 1821408576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1300475) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1300475-TRNE) |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2018-03-17 |