| NPI | 1912415357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2202853) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1400668) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-05-04 |