| NPI | 1184154890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800911) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.1500568) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-10-18 |