| NPI | 1013163500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.05000947-S) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.05000947-CR) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2018-12-17 |