| NPI | 1740846369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: C.230511) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-11-20 |