| NPI | 1912360694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700461) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C-1200513-CR) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2017-12-06 |