| NPI | 1508981507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0500647) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC005231) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-02-08 |