| NPI | 1326232877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH S0015125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1207) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |