| NPI | 1063042059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c.2002423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012614) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2021-09-23 |