| NPI | 1356866628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0002492-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-02-12 |