| NPI | 1093994618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0700013) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2016-08-23 |