| NPI | 1144632001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1300136) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC010850) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-08-05 |