| NPI | 1851538391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003869-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0003869) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-04-11 |