| NPI | 1962691865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 004582) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E3356) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |