| NPI | 1184155145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1800822) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C1500771) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-05-02 |