| NPI | 1306295100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E 0800430) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-03-11 |