| NPI | 1649575275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900111) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0900111) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-01-06 |