| NPI | 1336601103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C-8074) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 50016) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-05-16 |