| NPI | 1386090884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2001992) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 73863) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-11-18 |