| NPI | 1629677307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102113) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 4560) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-04-30 |