| NPI | 1770625550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0700204) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC004468) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-10-01 |