| NPI | 1770899197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9978) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0900502) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-03-27 |