| NPI | 1629388269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0602011-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0602011) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2014-12-30 |