| NPI | 1013261437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200295) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200295) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2016-09-13 |