| NPI | 1770031163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700155) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300457) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-11-09 |