| NPI | 1376514455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E2803) |
| 101YP2500X Counselor, Professional (Licence: KY 0296) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2016-11-29 |