| NPI | 1023582848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700738) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |