| NPI | 1912109455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C0003249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0006884) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-09 |