| NPI | 1134370042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0001623SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004136) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-09-07 |