| NPI | 1588315626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2304781) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: OH C.2103607-TRNE) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-05-22 |