| NPI | 1770521288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 0250) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-05-07 |