| NPI | 1750886891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901568) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700190) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-03-23 |