| NPI | 1528458668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505375) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1300762) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2025-05-28 |