| NPI | 1710238217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0500288-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0500288) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-07-02 |