| NPI | 1194025379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0007918) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY KY0469) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2014-08-25 |