| NPI | 1053631796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0800402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.800402) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2017-04-25 |