| NPI | 1497009708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901240) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200365-TRNE) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2020-02-20 |