| NPI | 1184125718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800637-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500048) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-08-17 |