| NPI | 1427831668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA APC001118) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304867-TRNE) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-05-06 |