| NPI | 1205365996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901288-SUPY) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1700366) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-06-30 |