| NPI | 1942725510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901294-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1600244) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-02-15 |