| NPI | 1235585035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1700606) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500859-TRNE) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-03-17 |