| NPI | 1124592241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002462) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1801427-TRNE) |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2022-06-07 |