| NPI | 1174922892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901216-SUPV) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-12-13 |