| NPI | 1871795617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 00050280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S-0017489) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |