| NPI | 1073951224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700017-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-02-06 |