| NPI | 1609307487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1700128-SUPV) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-03-05 |