| NPI | 1639429335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0004240-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1438) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2016-02-23 |