| NPI | 1013071778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E1740SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1740SUPV) |
| 101YP2500X Counselor, Professional (Licence: OH E1740SUPV) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-09 |