| NPI | 1194267476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011258) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1400533) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-09-02 |