| NPI | 1942437637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0700280) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1118) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |