| NPI | 1346795556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1500472) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH LICDC161817) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2020-10-13 |