| NPI | 1154961696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C2002446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2303316) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-04-03 |