| NPI | 1588046650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102515) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1400377) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-03-24 |