| NPI | 1013278266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1100056) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 285594) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |