| NPI | 1124319579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 0700029) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |