| NPI | 1255616181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1000279) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1000279) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2019-07-12 |