| NPI | 1487209987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303649) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1902144) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-01-12 |