| NPI | 1720692353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 174234) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.177612) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-07-26 |