| NPI | 1386685790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1954) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E000723) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-03-15 |