| NPI | 1407178767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0500416) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: OH OH1007589) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-06-10 |