| NPI | 1861826026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1200096) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.1200096) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2016-08-05 |