| NPI | 1013200765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I0008413) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0008413) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-10-25 |