| 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 |