| NPI | 1659627958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1470) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0014449) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |