| NPI | 1568003325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2102677-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1902309) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-01-04 |