| NPI | 1962269340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2506833) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2405597-TRNE) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-02-06 |