| NPI | 1962541417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0007099-SUPV) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2021-10-22 |