| NPI | 1407278328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 1753) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C2970) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-01-11 |