| NPI | 1750599486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-930) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E4224) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-03-17 |