| NPI | 1942688759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2001987) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1200349) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-03-13 |