| NPI | 1679827489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1600050) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c.0800479) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2022-01-04 |