| NPI | 1801269535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800979) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1300251) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2018-12-13 |