| NPI | 1124617915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204338) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 2002900) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-03-10 |