| NPI | 1467915736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103402-TRNE) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2022-09-13 |