| NPI | 1245363225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 1200737) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2005028614) |
| 101YP2500X Counselor, Professional (Licence: TX 66365) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-10-06 |