| NPI | 1851804462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH LPC15477) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13494) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-08-21 |