| NPI | 1104411032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204384) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2103095-TRNE) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-03-08 |