| NPI | 1902334303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1700778) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-11-17 |