| NPI | 1902371065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 103094) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |