| NPI | 1568442663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0002512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002104) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |