| NPI | 1033644000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E2734) |
| 101YM0800X Counselor, Mental Health (Licence: NM 5186) | |
| 104100000X Social Worker (Licence: OH S16573) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |