| NPI | 1275930240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1500292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10634) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2016-01-14 |