| NPI | 1619630142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013815) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-05-28 |