| NPI | 1518322973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3730) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400121) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2022-02-22 |