| NPI | 1497347231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13995) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103059-TRNE) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-06-06 |