| NPI | 1750650040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1000352) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH OH3107026) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |