| NPI | 1609251115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800795-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800795) |
| 101YP2500X Counselor, Professional (Licence: OH E2722-S) | |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2019-08-05 |