| NPI | 1811333537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006910) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0004068) |
| 101YP2500X Counselor, Professional (Licence: MI 6401012276) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |