| NPI | 1265793558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C0005539) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0000844) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2012-06-03 |