| NPI | 1528615960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203246) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.1902172) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-01-05 |