| NPI | 1740680321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1400454-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1400454) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2021-07-28 |