| NPI | 1417962002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E-0008048) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH11328) |
| 101YP2500X Counselor, Professional (Licence: OH E.1901267) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-07-03 |