| NPI | 1346045242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC-000445) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0000410-SUPV) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |