| NPI | 1174903561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1300150) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1300150) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-05-31 |