| NPI | 1598002149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000368) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C. 1000368) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2016-06-07 |