| NPI | 1396296364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1800691SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1901217) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2020-12-18 |