| NPI | 1831616101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001697) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0501114) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2021-12-27 |