| NPI | 1962880492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505215) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2505215) |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2025-04-22 |