| NPI | 1821595794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2102458) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH LICDC.162014) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-10-16 |