| NPI | 1922571876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1902375) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801488-TRNE) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-12-17 |