| NPI | 1588490593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 283720) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2304958) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |