| NPI | 1417028713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E-0002496-S) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E-0002496) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2021-04-06 |