| NPI | 1285062224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1700085) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1100365) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2021-08-12 |