| NPI | 1699153296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1400629) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-05-23 |