| NPI | 1609126663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000655) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH LICDC.161556) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2020-01-08 |