| NPI | 1518109214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.0006554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LSW S.0014733) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |