| NPI | 1841741840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102063-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009241) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2026-04-24 |