| NPI | 1558808352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001936) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1800877) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-10-09 |