| NPI | 1972931053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH S.0900698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH I.1200379-SUPV) |
| 101YP2500X Counselor, Professional (Licence: OH I.1200379) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |