| NPI | 1326512898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1901530-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1901530) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |