| NPI | 1902388069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901887) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700718-TRNE) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-08-06 |