| NPI | 1144256397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 21120) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E2865) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-07-09 |