| NPI | 1700237757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10520) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1901273) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-08-29 |