| NPI | 1093234312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700663) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-01-17 |