| NPI | 1548306186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC806) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0000518) |
| 101YP2500X Counselor, Professional (Licence: MD LC0252) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |