| NPI | 1275857112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C0701091) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 070638) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |