| NPI | 1902355381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001810) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 1600000) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-08-10 |