| NPI | 1952540478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0003747) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC1807) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2015-06-08 |