| NPI | 1619491263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1800552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1300093) |
| 101YP2500X Counselor, Professional (Licence: OH C.1300093) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-10-08 |