| NPI | 1417420092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1901614) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-11-03 |