| NPI | 1831319060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0002329) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009701) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |