| NPI | 1063680395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH e0602242) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-10-12 |