| NPI | 1912754342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406643) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405644-TRNE) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-11-29 |