| NPI | 1962885335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2528) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500446) |
| 101YP2500X Counselor, Professional (Licence: OH E.1700307) | |
| 101YP2500X Counselor, Professional (Licence: PA 009079) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2022-06-21 |