| NPI | 1497403638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2203901-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305328) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-02-28 |