| NPI | 1518458819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102365) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1901930) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-07-10 |