| NPI | 1275910507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800697) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300129) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-08-16 |