| NPI | 1558631895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900319SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0900319) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-08-25 |