| NPI | 1891208047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1901577) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.1700777) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2022-01-28 |