| NPI | 1770606915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0004406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13096) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |