| NPI | 1982121281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2002022) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1200697) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-12-14 |