| NPI | 1265192504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2304802) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103656-TRNE) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2023-01-20 |