| NPI | 1083895098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700383) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700621) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-10-12 |