| NPI | 1912131475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH17840) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0700366) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2023-03-31 |