| NPI | 1679675672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003393-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0003393) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-06-08 |