| NPI | 1073749602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003413A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0501237) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-12-04 |