| NPI | 1871154989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002735) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901666-TRNE) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-12-09 |