| NPI | 1316384654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700473) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1200301) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-02-04 |