| NPI | 1700396447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700426) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-11-05 |