| NPI | 1053941716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.20003062) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002257TRNE) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-01-20 |