| NPI | 1811134307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0501179-S) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0501179) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-04-25 |