| NPI | 1942075932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406459) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305002-TRNE) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-09-04 |