| NPI | 1598404865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH S.2005737) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0008336) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-06 |