| NPI | 1891860201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3936) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E-3177) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-02-09 |