| NPI | 1629430277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800783) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1400004) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-12-05 |