| NPI | 1528312212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003958-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E3958) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-09-16 |