| NPI | 1740333400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0007501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH CDCA.011225) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-01-08 |