| NPI | 1023169794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E1422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 2698) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-09 |