| NPI | 1073869277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000216) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 1000216) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2018-03-17 |