| NPI | 1417230038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH LPC600201) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-11-14 |