| NPI | 1790294619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901450) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500864) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-01-28 |