| NPI | 1992197164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102592) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5792) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-11-09 |