| NPI | 1285129890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2102082) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901669) |
| 101Y00000X Counselor (Licence: OH C1800982TRNE) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-02-16 |