| NPI | 1013075571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0000087) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0000087) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-05-18 |