| NPI | 1538297965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012663) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102192) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-05-16 |