| NPI | 1912441296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1600086) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1300203) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-27 |