| NPI | 1336105089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000390) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E-0003051) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-09 |