| NPI | 1679018055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500537) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-08-05 |