| NPI | 1477134997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404024) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80333) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-07-31 |