| NPI | 1841569712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800078-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0800078) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2018-04-17 |