| NPI | 1265702872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0600470) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005740) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2019-02-05 |