| NPI | 1912380494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1700226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500383) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-03-22 |