| NPI | 1982256848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303402) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1901806) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-08-12 |