| NPI | 1245889146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.015399) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.016528) |
| 101Y00000X Counselor (Licence: OH C.2002972) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-07-26 |