NPI | 1992197941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005036) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 0006596) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2015-02-27 |