| NPI | 1003918020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E2970) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701004768) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2010-08-05 |