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 |