| NPI | 1497166698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1400660) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1606) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-03-17 |