| NPI | 1538618806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1600578) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008306) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |