| NPI | 1124127089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1600040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104215) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-05-22 |