| NPI | 1346766912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102331) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700372) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-08-19 |