| NPI | 1760842371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800954) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500463) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2018-11-28 |