| NPI | 1649589169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0700355-CR) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0700355) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |