| NPI | 1598201212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C-1600642) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-06-06 |