| NPI | 1811527153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103258) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH 1902158) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2021-04-12 |