| NPI | 1427613116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303279) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: C.0900316) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-02-21 |