| NPI | 1497152698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102125) |
| 101Y00000X Counselor (Licence: OH C.1801072) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2022-01-07 |