| NPI | 1821437989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700250) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1200167) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-04-21 |