| NPI | 1225624067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: OH s.1200058) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH s.1200058) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |