| NPI | 1891048120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900480-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C 0900480) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-08-30 |