| NPI | 1801350806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102314) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1801592) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2021-06-11 |