| NPI | 1972905180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700422) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1400064-CR) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-07-21 |