| NPI | 1851777916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700291-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1700291-SUPV) |
| 101YP2500X Counselor, Professional (Licence: PA 008272) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-05-09 |