| NPI | 1316452899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.1800995) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C-1700024-TRNE) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-01-07 |