| NPI | 1457692808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E1000089) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.100089) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2019-01-17 |