| NPI | 1437440765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004841) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0007840) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |