| NPI | 1033435144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1200003) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN LPC0000002786) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-03-22 |