| NPI | 1871092593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1801365) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13662) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-05-01 |