| NPI | 1861876179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN TN3886) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1100366) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-06-03 |