| NPI | 1366653263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C0500246) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY KY-0532) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |