| NPI | 1659762300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700084) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C 1400578) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-01-05 |