| NPI | 1689219636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH e.2102588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c.1902147) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-05-18 |