| NPI | 1568205870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2506844) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2406063-TRNE) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-02-22 |