| NPI | 1679519490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH 3197) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 3197) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |