| NPI | 1255862090 |
|---|---|
| Former Name | EMILY FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001611) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C. 1700079) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-02-05 |