| NPI | 1831833417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103630-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 2304836) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-01-13 |