| NPI | 1740478346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0500787) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-11-10 |