| NPI | 1538646658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102681) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1902398) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2022-01-03 |