| NPI | 1215524970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002903-TRNE) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-02-25 |