| NPI | 1154792372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 175350) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2024-10-14 |