| NPI | 1063757078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001730A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0004269) |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2012-12-02 |