| NPI | 1760895445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1700389) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C 110491) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-06-25 |