| NPI | 1114270345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800275-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0800275) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2015-07-28 |