| NPI | 1831687086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901101) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1500899) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-03-13 |