| NPI | 1942652896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1600320) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2002044) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2021-05-11 |