| NPI | 1992299382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002502) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK C1801065-TRNE) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-10-01 |