| NPI | 1104914928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0000210) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY 0272) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |