| NPI | 1639945975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2405858) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH 2405858) |
| 405300000X Prevention Professional (Licence: OH RA.163860) | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-05-23 |