| NPI | 1891012563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006970) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E. 0501334) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2013-09-25 |