| NPI | 1619479672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2001930) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C-1800880) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2020-12-30 |