| NPI | 1851458988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0007756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006025) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2009-02-10 |