| NPI | 1538577580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 2792) |
| 101YP2500X Counselor, Professional (Licence: OH E0002838) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |