| NPI | 1942472733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0002766) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E2766) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-02-09 |