| NPI | 1942288253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003762) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0008433) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-09-26 |