| NPI | 1932608700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901915) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2023-03-21 |