| NPI | 1245455500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2250) |
| 101YP2500X Counselor, Professional (Licence: OH 0001548) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |