| NPI | 1588102719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700352) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1300720) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-03-15 |