| NPI | 1275229676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6262) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0500665) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |