| NPI | 1912446212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700061-SUPV) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OH RA.162274) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-08-28 |