| NPI | 1861792475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000227) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1000227) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2017-05-10 |