| NPI | 1922650860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1902088) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-08-31 |