| NPI | 1619599560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 277040) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002463TRNE) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2022-04-27 |