| NPI | 1710498951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1800876) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2404184) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-04-04 |