| NPI | 1841511011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404778) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005967) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-11-12 |