| NPI | 1407348139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901340) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1100136) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2020-08-06 |