| NPI | 1831597681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901407) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700283) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2020-08-18 |