| NPI | 1689192858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901242-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT C1700576) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-08-30 |