| NPI | 1407379803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901411-SUPV) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-05-29 |