| NPI | 1609366681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.1500815) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E2001604) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-03-13 |