| NPI | 1720714611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305174) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: C.2204016-TRNE) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-06-05 |