| NPI | 1487795043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0500056) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007059) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-10-10 |