| NPI | 1609813633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0500699) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c 0500699) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-05-09 |