| NPI | 1366877326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1300438-TRNE) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: PA 11633534) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |