| NPI | 1780727156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.0005005-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH NCC 23899) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-07-24 |