| NPI | 1396093258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0501247) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK C0501247) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2016-08-26 |