| NPI | 1740702646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2102085) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1600534-TRNE) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2021-01-25 |